Grievance and Appeals Supervisor

Job Summary

A company is looking for a Supervisor, Grievance & Appeals (Remote).

Key Responsibilities:

• Oversee daily operations of Grievance and Appeal Specialists and ensure compliance with performance standards
• Conduct root cause analysis of appeal issues and implement process improvements
• Manage staff performance, including recruitment, training, and performance reviews

Required Qualifications:

• Bachelor's Degree
• 4 - 6+ years of relevant professional work experience
• 1 - 2+ years of managed care experience
• Staff/process management experience
• In-depth knowledge of grievance and appeal processes and federal/state regulations